Individual provider Active NPI

Elizabeth D Lockhart, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1841954328
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021040204 Issued in MO
Practice address
4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone
(636) 224-1700
Fax
(314) 535-5917
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021040204 MO Primary

Addresses

Primary practice location

4066 Dunnica Ave
Saint Louis, MO 63116-3510

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000

Other practice location 1

17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975

Other names 1

  • Elizabeth D Shelton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203001318 MO Practitioner - Nurse Practitioner 0042603680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (314) 361-1630

800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Nov 4, 2021 Accepting new patients
Burrell, Inc. CurrentSince Jul 10, 2024 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Nov 4, 2021 Accepting new patients
Burrell, Inc. CurrentSince Jul 10, 2024 Accepting new patients

Locations

1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500

17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000

17611 E US Highway 24
#H
Independence, MO 64056
Phone (816) 836-6350

900 E Laharpe St
Kirksville, MO 63501

1601 Old South River Rd
Saint Charles, MO 63303
Phone (636) 224-1202

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700

1300 E Bradford Pkwy
#H
Springfield, MO 65804

Interoperability endpoints

  • Direct secure messaging: elizabeth.lockhart.p1@direct.pfh.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1841954328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 DUNNICA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163510",
            "telephone_number": "636-224-1700",
            "fax_number": "314-535-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17421 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571805",
            "country_code": "US",
            "telephone_number": "816-455-9975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2021040204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SHELTON",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.